Effective from 13.07.2021 to 12.07.2022 Mediclaim Insurance cover available upto Rs. 10 Lakhs Group Accident cover 10 lakhs, Accident Hospital Rs. 1 Lakh st th SCHEME STARTING FROM 13 JULY 2021 AND THE WINDOW FOR POLICY WILL BE OPEN UPTO 12 AUGUST 2021 ONLY FRESH SCHEME NO PRE MEDICAL CHECKUP GROUP PERSONAL ACCIDENT INSURANCE Death only - 100% of the Sum Insured Loss of two limbs, two eyes or one limb and one eye - 100% of Sum Insured Loss of one limb or one eye 50% of Sum Insured Permanent Total Disablement from injuries other than those named above (PTD) 100% of Sum Insured. P.A. Premium Section I P.A. Covers 10 lakhs Rs. 450/- Total only for Accident Cover is Rs.450/- Medical Expenses due to Accident Rs.1Lac (Reimbursement) GROUP MEDICLAIM INSURANCE Cover starts from day one for accident illness. No pre medical checkup is required. Family Floater cover, Family means (Member + spouse + Two Dependent Children upto 25 years) A Pre and post Hospitalization expenses will be Covered for 30 & 60 days respectively. 1st, 2nd & 4th years disease waiting period waived off. Premium charged for entire family. Room charges payable up to 1% of Sum Insured and 2% for ICU. Hysterectomy - Rs. 50,000/-; Coronary Angiogram - Rs.20,000; Cataract - Rs. 24,000/- Eye, Hernia - Rs.50,000/- For Sum Insured of Rs.1 lakh - CABG - Rs.75,000/-; Knee/Joint replacement - Rs.75,000/- For Sum Insured above Rs.1 Lakh - CABG - Rs.1,50,000/-; Knee/Joint replacement - Rs.1,50,000/- No Maternity. - If intimation of claims is made after 30 days, co-pay of 10% will be applicable. This co-pay will be cover and above all other conditions of policy. - Reasonable & customary clause which is integral part of our floater policy clause shall not be waived. It will remain operating part of this proposal. - Proportionate deduction clause remain applicable. Please also note that those hospitals where New India is having PPN network, only PPN rates will be applicable. If any employees opt for any rate/package which is other than what has been agreed in PPN. REVISED RATE FOR THE YEAR 2021-2022. MEDICLAIM FLOATER POLICY PREMIUM CHART S.I./AGE BA 21-25 26-30 31-35 36-40 41-45 46-50 51-55 56-60 61-65 66-70 100000 200000 300000 500000 800000 1000000 3815 7629 10623 15527 19886 21163 * Member & Staff of Bar Council of Maharashtra and Goa * Age Between 21 years and 70 years. * Period of Insurance : 1year. PERSONAL ACCIDENT AND MEDICLAIM INSURANCE (GROUP) SCHEME - 2021 - 2022 ELIGIBILITY FOR ENROLLMENT IN THIS SCHEME BAR COUNCIL OF MAHARASHTRA & GOA List of cashless hospitals available on above website THE NEW INDIA ASSURANCE CO. LTD. (111700) Asian Bldg, D.O. 111700, 3rd floor, R. Kamani Rd, Balland Estate, Mumbai 400 001. Adv. Anil M. Gowardipe Chairman-BCMG Payment details : ONLINE ONLY Minesh Prakash Sr. Divisional Manager Tel. No. 22621280 Shri. Pramod Satam Development Officer Tel. No. 22677710 Tel.: Mr. Sharad Bagul (O.S. BCMG) Mob. 9869380776 Mr. Pravin Ranpise Secretary Tel. No.022 22656567 Adv. Sudeep R. Pasbola Vice Chairman-BCMG Adv. Satish A. Deshmukh Vice Chairman-BCI Adv. Rajendra B. Umap Chairman- Insurance Committee Members Adv. Gajanan B. Chavan Adv. Milind S. Thobde Adv. Avinash J. Bhide Adv. Subhash J. Ghatge Adv. Asif S. Qureshi Adv. Ahmedkhan U. Pathan Adv. Amol S. Sawant Adv. Motisingh G. Mohta Adv. Vasant D. Salunke Adv. Annarao G. Patil Adv. Vasantrao E. Bhosale Adv. Vitthal B. Konde-Deshmukh Adv. Sangram D. Desai Adv. Avinash B. Avhad Adv. Milind S. Patil Adv. Harshad V. Nimbalkar Adv. Jayant D. Jaibhave Adv. Vivekanand N. Ghatge Adv. Uday P. Warunjikar Adv. Ashish P. Deshmukh Adv. Parijat M. Pande Pls Note that this policy is covered pre existing disease so COVID-19 (Pandemic Disease) is also Covered 20% co-pay for new members and 100% for those who are registered in last year policy. nd 2 Floor, High Court, Fort Mumbai 32 Tel:- 022-22656567 / 22677508 For Mediclaim Contact : VIDAL HEALTH A/c. Name : - Bar Council of Maharashtra & Goa Advocates Amelgated Fund A/c. No.: - 030110110000216, IFSC Code - BKID0000001. Bank Name - Bank of India (Mumbai Main Branch) Pl. Send Bank Deposit Receipt On This Email Id - [email protected] ONLINE APPLICATION FORM IS OPEN FOR ALL Application forms will received through online only. Link For Online: http://apps.barcouncilmahgoa.org For Personal Accident Contact : NOTE : (REQUIRED DOCUMENTS):‐ 1. ADVOCATES OWN PHOTO 2. BAR COUNCIL IDENTITY CARD 3. RESIDENTIAL PROOF: ADHAR CARD / PASSPORT / DRIVING LICENSE 4. WIFE’S PHOTO, ADHAR CARD / PASSPORT / DRIVING LICENSE 5. BELOW 25 YEARS TWO CHILDREN PHOTO & ADHAR CARD / BIRTH CERTIFICATE This scheme is specially designed and exclusively available for our Members & Staff Exhaustive and comprehensive coverage and benefits available to self and family members at every economical rates. The ADVOCATES who have taken critical illness claim in last year policy will not be allowed to take higher Sum insurance. 4085 7761 10897 16072 21794 22629 4221 7899 11169 16481 23154 24006 5037 8850 12532 18525 23973 24668 6538 11575 15527 23154 31327 32689 8444 15800 22610 34051 51760 52527 9534 17980 24608 38684 59932 60860 10897 20163 30142 44948 68104 70012 11987 22884 32690 51760 79001 81404 13348 25334 36775 57753 87173 88477 Application forms will received through online only. Link For Online: http://apps.barcouncilmahgoa.org 18604250254 Amit +91 99870 11385 18604250254 / Amit +91 99870 11385